What Causes A Dull Ache In The Testicles And Pain During Urination?

Posted on Wed, 26 Apr 2017

Question: On and off for 10 months, I seem to have more awareness of the need to urinate. Some male type pain in gentitals- and sometimes a dull ache in testicles. All urine and STD tests negative. Diagnosed at urgent care with hydrocele and varicocele. Some dribbling after urination occurs. I don't wake at night to urinate- ever. Wondering what is happening as I haven't been able to see urologist yet.

Answered by Dr. Dr. P. T. Patil (44 minutes later)

Brief Answer:
Likely to be due to infection of Prostate (Prostatitis)

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have urge to pass urine and pain in testicles and urethra off and on since 10 months

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Do you have pain in perineal region ?
2) Do you have painful ejaculation ?
3) What is the grade of Varicocele ?
4) Whether hydrocele is minimal or large one ?

Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.

In the meanwhile take antibiotic like Bactrim D.S along with anti inflammatory medication like diclofenac or Brufen twice daily .

Further treatment will depend upon result of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (3 minutes later)

No pain in that region. Rarely - if ever pain with ejaculation. The report didn't specify the grades on varicocele and hydrocele.

Answered by Dr. Dr. P. T. Patil (13 minutes later)

Brief Answer:
Consult Urologist for evaluation .

Detailed Answer:
hello
Thanks for follow up .

A thorough clinical examination and relevant investigations mentioned earlier will help to pin point the diagnosis and decide the line of treatment .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (32 minutes later)

Can it be an infection if all the urine cultures have come back negative?

Also I've read that prostatits is very hard to treat if no bacteria is found in the urine. What are your thoughts on this?

Answered by Dr. Dr. P. T. Patil (30 minutes later)

Brief Answer:
There is a entity like Abacterial Prostatitis very difficult to be cured

Detailed Answer:
Hello
Thanks for follow up .

There is an entity like Abacterial Prostatitis where all the relevant tests are negative and it is very difficult to get cured .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (1 minute later)

Are there natuaral ways to get relief?
And can a hydrocele cause more urges to urinate?

The scan report said I had bilateral hydrocele.

Here is the report

TESTICULAR ULTRASOUND

History: Pain

Comparison: None

Technique: Real-time sonographic and color Doppler images of the testicles were obtained. Spectral waveform analysis was performed.

Findings:
The right testicle measures 4.3 x 3.3 x 2.7 cm. The right testicle has a homogeneous echotexture without mass or microcalcifications.

The left testicle measures 4.5 x 2.7 x 2.2 cm. The left testicle has a homogeneous echotexture without mass or microcalcifications.

There is normal arterial inflow within the testicles bilaterally.

The epididymides appear unremarkable bilaterally without abnormal vascular flow.

Left varicoceles.

There are small bilateral hydroceles.

Impression:

Left-sided varicocele.

Small bilateral hydroceles.

Approving M.D.: Garg, XXXXXXX M.D.
Signed Date/Time: 03/07/2017 11:41

Answered by Dr. Dr. P. T. Patil (55 minutes later)

Brief Answer:
Varicocele and Hydrocele in your do not require any treatment

Detailed Answer:
Hello
Thanks for uploading report .

Hydrocele is very minimal and Varicocele on left side do not require any active intervention .Varicocele if symptomless does not require treatment Using scrotal support will help to relieve discomfort in testicles.

Hydrocele does not cause urge to pass urine

Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar